Provider Demographics
NPI:1073279063
Name:LIMOS-ATHUNI, ABIGEL REYES (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ABIGEL
Middle Name:REYES
Last Name:LIMOS-ATHUNI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:ABIGEL
Other - Middle Name:REYES
Other - Last Name:LIMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-1717
Mailing Address - Country:US
Mailing Address - Phone:917-620-1296
Mailing Address - Fax:
Practice Address - Street 1:113 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-1717
Practice Address - Country:US
Practice Address - Phone:917-620-1296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5790225X00000X
MA14161225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty